0015A1E4.001

INTEGRATED PLANNING ACT 1997                                                                                         Part A, Version 2.4, 29 May 2006
                : Land owner's consent (ifappfcable) - | 20.   Land owner's consent to the making of this application: >»     *-        Pe                   a4
                | plcatn stein arbe supported ye         |                                               |           Signature               |       ate
                 written consent of the-land owner/s, if the. application Oo
                {involves: cele        Be       ewe    oP   ow
                :() amaterialchangeofuse; |                 op [ence ene nese wen enn n cece merce cence cee ne bee ence ne een e sence sec ee erences ndocenecee eee
                { (li); reconfiguration ofalot; "Fa PN            .
                 (il), work on tand below high-water mark & not within a) | (ii)                                                                               ;
                   canal as defined under tha Coastal Protection and:)} .) oo ee eee eee cece cece bec eee eee ee eee ence cece eee c ec ece cence ee
                j   Management Act 1995:or “> Ser      PT
                ! (4) work on rail corridor land defined.underthe = - | +1 (ili)
                4,  Transport infrastuctire Act 1994 Fea eeeeeceeeeneceree sees etee pee eeeeteecenereteceeecenerecentarefeneseeeeeeee
                j Saction 3.8.1(2)(a) of the IPA provides that " wf
                j landowners consent Is nof required for a mobile or Bea (iv)
                yeoennee eee                   oe   eb      ms (v)
                ; Resource-entitlement Gifapplicable):   24. Does this application involve   a State-resource prescribed undet a regulation (other than involving
                # Section 3.2.1(5) of the tPA requires evidence of“ - “|, ~ . quarpf material on State coastal land under the Coastal Protection and Management Act 1995)?" =
                j Fesourbe entitlement be given for appticatons that |: ob a     kam          j    Ae     oe      Ri     eg           EEO           tee   at ge
                     aan                      mame   RAS"          TANO-goteQ2g     ©  =      £ ™ EVYES+gotoo22                       eB     Mme       ye
                Section 3.2.1(+0}(a){H) of the IPA prescribes. thatan ‘J, ove ek ON Be ee                                             ee
                | spicalon cannot ken tobe propery made a 22. This-application is accompanied by evidence: (tick applicable box). <-> 2      oe ae        Lo |
                Nein imewan                                _  « {2}. of the allocation of, of entitlemént to; the resource = atfach evidence and go to Q23(v) “=.
                 Rela fo senedule 10 ofthe Integrated Planing =f - LJ (i) the chief executive of the department administering the resource is satisfied the
                1 Regulation 1998 that prescribes the nature of evidence). _ ts 5    i               i              i     F or   enti           “resource = o-
                Erequited by the Slate supportat the lodging ofthis “| > > development is consistent with an allocation of, or entitlement fo, the resource « go
     ©          { development application...       rf           ag     F008                                     en                 CC
                       SO,                              of    [7] Gi) the chief executive of the department administering the resource is'satisfied the         j
                 a          ce   kek                   - |...          development application may proceed in the absence of an allocation of, or               j
                   oe                                                  entitlement to, the resource - go to. 023                mo  ,                   Lott
                pean natin ih minty Zidince           g [22°   Evidence of the resource entitiement:        a              Fe             Ce
                fequed under 022 (9) Yate.     sf.             (i). Resource entitlement / authority details“         —_—(vii) Official stamp of the department. i
                 The official stamp of the Department of Natural                                                           ~ administering the resource (if     i
                { Resources, Mines and Watet is mandatory where thé OO    5               —             -          -     * _ applicable   fo.    Ft
                j application involves any water or riverine quay =| _{ii) ‘Name of delegated officer .         oo                                              i
                vec 32.168) tows bersnucemaraperotnt|          Lee                                                                                             !
                 cee icreter eee                             |.”                             wat
                        he evidente may   ,      | mus    > ii          iti         q          Oram                :                                           ,
                | cate he evidences ede."          me         _ {iit) Position of dele ated off goeamy      ‘                                                   i
                 es                     oe        +       |  A)     Sere        REED                                                                           ;
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                 a       :   “    are           ’  ed         .  7      :         —                                 7       .:      :     =   os           . 4
                 sae        we    wy re        st.            (vi)  Expiry  date ofevidence (ifappicable)                          7       7                og
                {Assessment triggers    a.      asx      [24.18 thé IDAS Assessment Checklist completed: and attached'to this application?’          ==        4
                jis cect does nat apply the appicaton emuves) AYES          = ~*~ [INO <the assessment manager may reise to accep! this application onthe
                { must be completed for all othet appllcations:*s° Js eth  eB                 a grounds that the application has not been properly made Od
                | Plans /'drawings / reports *  “~~ '[25. “Plans/drawings/réports accompanying this application.          ane.   mee                          |
                { support the proposal & enable te assessment « mo    Plan / Drawing / Report Number                      Title               |      ate       |
                * An appication'shovld be accompanied by detalls to * |. «       .                                           .
                + Manager, referral agencies and any person viewing 7.0].             .                                                                        t
                { the application during public scrutiny or public. * “FT i.
                j toilcation o understand the scope of the proposal Bos [ron eerccossercceceercasscccansecccscencn paver caer ccs cease cos er eee r reese
                and any potential Impact, 2 iy  me Lg be       | Gi)                                    fe                                                     r
                 Ye.  hee py oe i gt ge         wes    og ba     (iii)                                                                                         f
                 pe RRR       ye   Met          Rey [Ps ws [restr r ten eco renner recon senerrrasercee ponweeeccccaasccscescerccssccc ccs                     r
                  Lote Sint “ o 38        wet   ee        =   .  (iv)
                 PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information required by Part A
                                   and any other relevant part of Form 1.
                                                                                                                                                              el
.                OFFICE USE ONLY (applicable to assessment manager's,
                 FEE OS)                    EE RECEIVED 2                          OE  NAMEIS 72                              /-NUMBERIS *
                 joe        ug     iyo    Gay    ag     Notification of Engagement of Private Certifier (Optra format) si       © eh           aan    oar
                  Toi                a           Se     ee ts       = Coundil, have been engaged as the private certifer for the building work referred to in this application.
                      Kgs   Regal Aight   Sete  TEE ED               ces, ogi MERE xg. 8        fo,    QR Rag deny. Boar          Bom NB       ge     Bagh
                 8a RCS GRP gg     Bg o% seas                  ene             ms                                                a ge                 rs        :
                 _Date.of.engagement: ce be AA sup. Accreditation Numbers: oy     at ws NOMO@t  esc   Et                Signatures Bee   FR ee eee